Child Care Development Fund Lead Agency Data and Research Capacity Meeting Evaluation

OMB Control #: 0970-0401

Expiration Date: 5/31/2027

[Title of Meeting]

Meeting Evaluation Form

Thank you for attending the [Name of meeting]. Please take a few minutes to provide feedback.
Your responses will be used to shape future meetings of this and other Communities of Practice (CoP) run by CSRE and OPRE.

1. For each session or activity, please circle a number to indicate whether you agree or disagree with the statement “I felt this session was a good use of my time.”

1=Strongly Disagree 2=Disagree 3=Neither Agree Nor Disagree 4=Agree 5=Strongly Agree

Strongly ------------------ Strongly

Disagree Agree

1. [Insert name of session or activity] _________ 1 2 3 4 5

2. [Insert name of session or activity] _________ 1 2 3 4 5

3. [Insert name of session or activity] _________ 1 2 3 4 5

4. [Insert name of session or activity] _________ 1 2 3 4 5

5. [Insert name of session or activity] _________ 1 2 3 4 5

6. [Insert name of session or activity] _________ 1 2 3 4 5

[Note, this question would be repeated to cover as many sessions or activities on which we seek feedback].

2. For sessions with choices

1. Which optional [session/breakout discussion/peer working group] did you attend [and add description such as before lunch, if there were multiple optional sessions]

   1. [option 1]

   2. [option 2]

   3. [option 3, etc.]

Strongly ------------------ Strongly

Disagree Agree

b. This optional session was a good use of my time. 1 2 3 4 5

[Note, this question may be repeated if there were multiple sessions with choices]

3. If you disagreed (2) or strongly disagreed (1) with any statements above, please explain further:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Please circle a response to indicate if you would have preferred to spend more time, about the same time, or less time on each of the following:

[Only include relevant responses]

1. Presentations from partnership teams More time About the same Less time

2. Hearing from federal staff More time About the same Less time

3. Expert speaker presentations More time About the same Less time

4. Whole group discussions More time About the same Less time

5. Small group discussions More time About the same Less time

6. Lunch break More time About the same Less time

7. Informal networking and discussion More time About the same Less time

8. [other session/activity] More time About the same Less time

9. [other session/activity] More time About the same Less time

10. The overall length of the meeting More time About the same Less time

5. Reflecting on the Meeting as a whole

a. As a whole, the meeting was a good use of my time. 1 2 3 4 5

2. I was comfortable asking questions & contributing

to discussion 1 2 3 4 5

3. I will be able to apply what I learned at this meeting

to my work 1 2 3 4 5

4. Given the content and purpose of the meeting,

I am glad it was an [in-person/hybrid/virtual] meeting. 1 2 3 4 5

6. Do you have any further comments on the fact the meeting was [in-person, virtual, hybrid], including comments about the meeting location?

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Do you have any additional comments for the meeting organizers, including what topics you wish had been covered more deeply?

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Please indicate your role (select all that apply):

1. CCDF lead agency partner

2. Principal investigator

3. Other researcher

Note to OMB: This question would only be asked if the meeting were offered as a hybrid meeting:

9. Please indicate how you attended the meeting:

4. In-person

5. Virtually

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to solicit feedback from participants of the Data and Research Capacity Community of Practice run by the Center to Support Research and Evaluation Capacity of CCDF Lead Agencies (CSRE.) Public reporting burden for this collection of information is estimated to average 5 minutes per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0401 and the expiration date is 5/31/2027. If you have any comments on this collection of information, please contact Teresa Derrick-Mills, tderrickmills@urban.org.